Multiple cardiac complications after adjuvant therapy for breast cancer: the importance of echocardiography. A case report and review of the literature.

Gurghean, Adriana; Săvulescu-Fiedler, Ilinca; Mihailescu, Alexandra

doi:10.11152/mu-927

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…Echocardiography is the most useful imaging technique to diagnose endocarditis due to its large availability, accuracy and safety, allowing a comprehensive evaluation of cardiac valves (9).…”

Section: Discussionmentioning

confidence: 99%

Bacterial endocarditis masked by COVID‑19: A case report

Bajdechi

Vlad

Dumitrașcu³

et al. 2021

Exp Ther Med

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Infective endocarditis represents a rare complication among patients infected with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2); it is often a nosocomial infection and the symptomatology can be masked by respiratory failure symptoms from SARS-CoV-2 bronchopneumonia. Management of patients with severe forms of SARS-COV-2 infection who also have associated infective endocarditis is very difficult, especially in mono-specialty hospitals (such as infectious diseases hospitals) where access to cardiological investigations is limited. The current study presents the case of a 73-year-old woman with increased cardiovascular risk (high blood pressure, diabetes mellitus and obesity), with uninvestigated ischaemic heart disease, who was admitted to the Department of Infectious Diseases in the Clinical Infectious Diseases Hospital (Constanta, Romania) due to SARS-CoV-2. Although the evolution was initially favorable, the condition of the patient significantly deteriorated on the 14th day of hospitalization due to the development of Enterococcus faecium infective endocarditis. Despite the therapy, the evolution was fulminant. Infection with coronavirus disease 2019 can result in numerous comorbidities, which cause higher mortality rates than in the general population.

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Section: Discussionmentioning

confidence: 99%

Bacterial endocarditis masked by COVID‑19: A case report

Bajdechi

Vlad

Dumitrașcu³

et al. 2021

Exp Ther Med

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“…Echocardiography is the most useful imaging technique to diagnose cardiac tumors due to its large availability, accuracy and safety (14). Surgery is the treatment of choice in these cases, but the risk-benefit ratio must be considered, and shared decision making must be taken into account.…”

Section: Discussionmentioning

confidence: 99%

Right atrial lipoma: A case report and literature review

et al. 2022

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Cardiac lipomas are generally asymptomatic even in large dimensions. Echocardiograms can identify tumors, but cardiac magnetic resonance imaging or cardiac computerized tomography can differentiate cardiac lipomas from other cardiac tumors. The present study is a case report of an asymptomatic 30-year-old man diagnosed with atrial lipoma. The patient received cardiac surgery and the intervention consisted of exclusion of the right atrial (RA) tumor and reconstruction of the right atrium with 'XenoSure' patch in extracorporeal circulation through a minimally invasive approach. A short PubMed literature review was performed and 26 cases of RA lipomas with available details were found. Cardiac tumors may cause clinical presentation through different pathways. Symptoms related to an RA lipoma were present in 21 out of 26 patients (80%). The symptoms varied greatly, dyspnea being the most common of them. In one case, the lipoma was found during the autopsy of a patient after sudden death. Large cardiac lipomas can lead to complications such as obstruction of ventricular outflow tract, electric disorders, embolism or pericardial effusion. Obstruction of the right ventricular outflow tract was reported in 11 out of 26 patients (42%) diagnosed with RA lipoma. Generally, atrial lipoma can have various sizes. The most useful imaging technique was transthoracic echocardiography. Accurate diagnosis and evaluation of cardiac lipoma is dependent on multimodality imaging methods, including cardiac magnetic resonance. Surgery is the treatment of choice, but the risk-benefit ratio must be considered, and shared decision making must be taken into account. The present review data showed that 23 out of 25 patients (92%) underwent surgery. Among these patients, only 1 out of 23 received a minimally invasive approach in 2021. Cardiac lipomas are rare entities, usually asymptomatic, that can occur at any age. The most useful diagnostic method of cardiac tumors is echocardiography, but nuclear magnetic resonance can also specify the type and characteristics of tumors.

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“…Radiation fields that involve the heart may also accelerate coronary atherosclerosis and induce acute or chronic pericardial disease, valvular heart disease, conduction system disease, and cardiomyopathy [92]. Young age and left anterior thoracic radiation place patients at higher risk for cardiac damage [31]. Infiltrative diseases such as amyloidosis may also manifest with restrictive cardiomyopathy or PH.…”

Section: Etiologymentioning

confidence: 99%